Individual provider Active NPI

Rebecca Mildred Matteson, FNP

  • Family Nurse Practitioner
  • Lowville, NY
National Provider Identifier
1760059067
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
347732 Issued in NY
Practice address
7785 N State St
Lowville, NY 13367-1229
Phone
(315) 376-5200
NPI assigned
Jun 7, 2021
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 347732 NY Primary

Addresses

Primary practice location

7785 N State St
Lowville, NY 13367-1229

Mailing address

7663 Park Ave
Lowville, NY 13367-1332
Phone (315) 480-2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210823000170 NY Practitioner - Nurse Practitioner 3072918580 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claxton-Hepburn Medical CenterGroup PAC ID 8426966508, 78 clinicians
Carthage Area Hospital IncGroup PAC ID 9931010485, 119 clinicians
Delphi Hospitalist Services LLCGroup PAC ID 5395819478, 49 clinicians

Practice addresses (Care Compare)

100 Horwood PL
Ogdensburg, NY 13669-4510
Phone (315) 394-9462

1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000

117 N Mechanic St
Carthage, NY 13619-1252
Phone (315) 493-4187

191 N Main St
Wellsville, NY 14895-1150
Phone (585) 593-1100

214 King St
Ogdensburg, NY 13669-1142
Phone (315) 393-3600

3 Bridge St
Carthage, NY 13619-1353

3 Bridge St
Carthage, NY 13619-1360
Phone (315) 493-0110

7785 N State St
Lowville, NY 13367-1229
Phone (315) 376-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare PLLC CurrentSince Aug 1, 2021 Accepting new patients
Carthage Area Hospital Inc CurrentSince Jan 1, 2022 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Carthage Area Hospital Inc. CurrentSince Jan 1, 2022 Accepting new patients
Delphi Hospitalist Services LLC CurrentSince Aug 1, 2021 Accepting new patients
Claxton-Hepburn Medical Center Past Accepting new patients

Locations

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Interoperability endpoints

  • Direct secure messaging: rmatteson@cahclinics.medentdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1760059067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7663 PARK AVE",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671332",
            "telephone_number": "315-480-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671229",
            "telephone_number": "315-376-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTESON",
        "first_name": "REBECCA",
        "middle_name": "MILDRED",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowville, NY

Sources for this page

Verify at the official NPI Registry.